lung cancer Flashcards

(31 cards)

1
Q

what are the 2 main types of cancer

A

Small cell lung carcinoma (SCLC)
–>worst to have

Non-small cell carcinoma (NSCLC)

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2
Q

What is includedin SCLC?

A

Small cell carcinoma (oat cell cancer)

combined small cell carcinoma

OR mixed small cell & non-small cell carcioma

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3
Q

what is included in NON-SCLC

A

squamous cell
adenocarcinoma
large cell carcinoma

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4
Q

def of cancer

A

abnormal new tissue growth characterized by the progressive, uncontrolled multiplication of cells

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5
Q

what does abnormal growth of new cells called

A

neoplasm or tumor

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6
Q

how is tumor classified

A

localized or invasive,

benign or malignant.

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7
Q

what is benign tumors

A

do not endanger life unless they interfere with the normal functions of other organs or affect a vital organ

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8
Q

what is malignant tumor

A

grow in a disorganized manner and so rapidly that nutrition of the cells becomes a problem.

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9
Q

what is metastsis

A

when malignant tumor invade its surrounding

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10
Q

what does malignant origin in the lung

A

in the mucosa of the tracheobronchial tree

aka bronchogenic carcinoma

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11
Q

what is the most common cause of lung cancer

A

cigarette smoking

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12
Q

can secondhand smoke cause cancer

A

Passive, or secondhand, smoking is associated with as much as a 30% increase in the risk of cancer

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13
Q

what is the pathophysiology of lung cancer

A

exposure to cacinogen damage genetic material of lung cell

+
genetic predisposition

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14
Q

which cancer has the strongest correlation with smoking

A

Small-cell lung cancer

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15
Q

what are the Anatomic Alterations of the Lungs

A
Inflammation, swelling, and destruction of the bronchial airways and alveoli
•Excessive mucus production
•Tracheobronchial mucus accumulation and plugging
•Airway obstruction
–Blood
–Mucus accumulation
–Tumor projecting into a bronchus
• Atelectasis
•Alveolar consolidation
•Cavity formation
•Pleural effusion
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16
Q

what device is used to diagnosis cancer

A
C-XRAY
CT
MRI
PET
Biopsy
bronchoscopy
mediastinoscopy
transbronchial needle biopsy
17
Q

what is the purpose of staging

A

process of classifying information about cancer

18
Q

what information is obtained from staging

A

–Cancer type
–Size of the tumor
–Level of lymph node involvement
–The extent to which the cancer has spread

19
Q

what system is used for staging for non–small-cell cancer.

A

TNM classification

Roman numerals

20
Q

how to classify with TNM

A

–T represents the extent of the primary tumor
–N denotes the lymph node involvement
–M indicates the extent of metastasis

21
Q

how to classify with Roman numerals

A

–0 being the least advanced

–IV being the most advanced

22
Q

how to classify Small-cell cancer

A

Limited: cancer confined to only one lung and to its neighboring lymph nodes

Extensive: cancer has spread beyond one lung and nearby lymph nodes. It may have invaded both lungs (pass the main bronchus), more remote lymph nodes, or other organs

23
Q

what are some Radiologic Findings of small cell cancer

A
  • Small oval or coin lesion (tumor or granuloma)
  • Large irregular mass
  • Alveolar consolidation
  • Atelectasis
  • Pleural effusion (pus, blood, chyle)
  • Involvement of the mediastinum or diaphragm
24
Q

what are the clinical manifestation

A

occurs in 2 phases

  1. asymptomatic phase
  2. symptomatic phase (+weight loss)
25
what are some Non-Respiratory Clinical Manifestations
``` •Weight Loss •Hoarseness •Difficulty in swallowing •Superior vena cava syndrome •SVC obstruction •Weakness –Distention of the neck veins –Neck and facial edema •Electrolyte abnormalities ```
26
what is the management for Small-cell lung cancer
Chemotherapy -the use of chemical agents or drugs that are selectively destructive to malignant cancer cells. Radiation therapy - uses high doses of radiation to kill cancer cells and shrink tumor
27
what is the surgery done for small cell lung cancer
* Wedge resection (partial removal of a lung lobe) * Segmentectomy (removal of lung segment or segments of the lung) •Lobectomy (removal of one lung lobe) Bi-lobectomy (removal of two lung lobes) •Pneumonectomy (removal of whole right or left lung)
28
what does comfort or palliative care mean
means treating the symptoms of the cancer rather than the cancer itself.
29
what is the management for NSCLC stage 1 and 2
Surgery
30
what is the management for NSCLC stage 3
not good candidate for surgery | benefit from both radiation and chemotherapy
31
what is the management for NSCLC stage 4
Chemotherapy alone | comfort care